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Infection Prevention & Control Every-ones business

Infection Prevention & Control Every-ones business. Health Care Associated Infection (HCAI). Any infection that arises as a result of healthcare, regardless of the care setting. Why prevent/control Infection?. Impact on patients Risks to staff Risks to community Cost.

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Infection Prevention & Control Every-ones business

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  1. Infection Prevention & Control Every-ones business

  2. Health Care Associated Infection (HCAI) Any infection that arises as a result of healthcare, regardless of the care setting

  3. Why prevent/control Infection? • Impact on patients • Risks to staff • Risks to community • Cost

  4. The Reality of the Risk • 7.6 % adult patients in UK & Ireland • 8.2% adult patients in England. (3rd National Prevalence survey 2006) A proportion of patients who develop HCAI will die and for many others it is a major contributory factor in their death.

  5. The Reality……………… • Viral infections: HIV, Hepatitis B & C • Drug-resistant bacteria: MRSA, VRE, TB • New survival: Cystic fibrosis • New technology: Bacterial infections • And more, and more, and more…………

  6. The reality in SUHT • MRSA, GRE, Clostridium difficile, TB, Norovirus, Blood borne viruses. Trust Focus: • MRSA bacteraemia • Clostridium difficile.

  7. Facts – MRSA Almost endemic in NHS acute trusts since 1980’s MRSA bacteraemia 04/05 - >7,200 cases

  8. MRSA Facts • National MRSA bacteraemia reduction target: 60% by 2008. • SUHT Targets: 2005/2006 49 (actual 92) 2006/2007 37 2007/2008 25 • Rank 4th worst performing NHS Trust. • DH performance team visit.

  9. Clostridium difficile • 1.7% adult patients (3rd National Prevalence survey 2006) • 05/06 England & Wales: 44 000 • 05/06 SUHT: 823

  10. 15-30% Healthcare Associated Infections are considered preventable.(DOH, guidance)

  11. Frontline clinicians have the potential to significantly reduce infection rates by undertaking key activities correctly every time.(Saving Lives 2005)

  12. Hand hygiene is the single most important measure for preventing the spread of infection(Pittet et al 2001)

  13. Hand Hygiene GuidelinesSUHT 2004

  14. Decontaminate hands before and after each patient contactUse correct hand hygiene procedure

  15. Standard Infection Control PrecautionsWhat are these and when should they be used/ adhered too?

  16. Standard Precautions Personal Protective EquipmentSafe disposal of sharpsManagement f blood / body fluid spillagesDisposal of waste & excretaHandling of soiled linenCleaning & decontamination

  17. Intravascular devices:Guidelines for preventing infection associated with Central Venous Catheters & Peripheral Venous catheters

  18. Antimicrobial prescribing 2 Key Prescribing Principles: • Limit use of broad spectrum antibiotics • Limit use of glycopeptide antibiotics. • Follow local guidelines / policies • Prescribe for correct duration & dosage • Administer correct dosage at correct time. • Regular prescription reviews. • Seek microbiological advice.

  19. Everyone’s Responsibility. • Implement best practice • Know & follow SUHT policies and guidelines. • Keep up to date. • Meet your mandatory training requirements.

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